Abstract
ObjectiveThis study aimed to investigate the association of anesthetists’ academic and educational status with self-confidence, self-rated knowledge and objective knowledge about rational antibiotic application. Therefore, anesthetists in Germany were asked about their self-confidence, self-rated knowledge and objective knowledge on antibiotic therapy via the Multiinstitutional Reconnaissance of practice with Multiresistant bacteria (MR2) survey. Other analysis from the survey have been published elsewhere, before.Results361 (52.8%) questionnaires were completed by specialists and built the study group. In overall analysis the Certification in Intensive Care (CIC) was significantly associated with self-confidence (p < 0.001), self-rated knowledge (p < 0.001) and objective knowledge (p = 0.029) about antibiotic prescription. Senior consultant status was linked to self-confidence (p < 0.001) and self-rated knowledge (p = 0.005) but not objective knowledge. Likewise, working on Intensive Care Unit (ICU) during the last 12 months was significantly associated with self-rated knowledge and self-confidence (all p < 0.001). In a logistic regression model, senior consultant status was not associated with any tested influence factor. This analysis unveiled that CIC and working on ICU were more associated with anesthesiologists’ self-confidence and self-rated knowledge than senior consultant status. However, neither of the characteristics was thoroughly associated with objective knowledge.
Highlights
Work experience has repeatedly been correlated with improved performance in psychological research [1], as well as anesthetic practice [2, 3]
While time spent on Intensive Care Unit (ICU) during the last 12 months itself was associated with selfconfidence (p < 0.001), there was no obvious effect of the amount of time an individual spent on ICU in terms of varying odds-ratios
These results were consistent in the logistic regression (p = 0.003 for certification in intensive care (CIC) and p < 0.001 for time spent on ICU, Table 2)
Summary
684 questionnaires were returned from sixteen anesthesiologic departments in Germany (medium 45 employees, inter-quartile range 32–105) and met the inclusion criteria (53.9%). Factors associated with anesthesiologists’ self‐confidence about antibiotics An additional certification in intensive care (CIC) was significantly associated with anesthesiologists’ self-confidence about the rational use of antibiotics (p < 0.001; Table 2) in the overall analysis. Factors associated with anesthesiologists’ objective knowledge about antibiotics In the overall analysis of objective knowledge about antibiotic application, people with a CIC (mean 3.38 correct answers) differed significantly from those without (mean 3.17 correct answers, p = 0.029). This was not consistent in the LRM (p = 0.74). Neither senior consultant status, nor time spent on ICU were associated with objective knowledge in the LRM or simple comparisons (all p > 0.005; see Table 2 for details). Data are provided as number and percentages within the respective group (vertically) a The German physicians can obtain an additional certification post residency after one additional year of full-time work on an intensive care unit b Hospital related data that were assigned to each participant
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